Module 4 HPV vaccine administration Gardasil TM Essential Training Package for HPV Vaccine Introduction Learning Objectives At the end of this module you will have learned to Describe activities carried out ID: 767939
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Module 4HPV vaccine administrationGardasilTM Essential Training Package for HPV Vaccine Introduction
Learning ObjectivesAt the end of this module, you will have learned to: Describe activities carried out before, during and after an immunization session.Describe how to ensure that vaccine is of good quality Describe the technique to administer the vaccine Describe considerations for conducting immunization session in school setting Duration 45 ’
How to ensure that the vaccine is of good quality ? 1 How to prepare for vaccination ?2Key issues How to administer the vaccine? 3 What to do after completing the immunization session? 4
Immunization sessions: phases & critical activities Phase 1 Before girls come for immunization Phase 2 When girls come for immunizationPhase 3 After all girls leave immunization area
Phase 1: Before girls come for immunization 1. Take vaccines and vials out of the refrigerator 2. Check expiry date and VVM status for each vial 3. Collect & arrange supplies and monitoring tools for immunization session 4. Prepare an AEFI Kit
How to ensure that vaccine is of good quality? Check the temperature inside the refrigerator, if vaccine freezing is suspected perform the Shake test to confirmCheck VVM statusCheck the expiry date on the vials
How to check VVM status?Before administering the vaccine, you need to check the Vaccine Vial Monitor (VVM) on the vaccine vial
What should you do in this scenario? The vaccine vial monitor shows that the inner square is lighter than the outer circle? What should you do?
Checklist of supplies and monitoring toolsneeded for HPV vaccinationSuppliesVaccine and syringesIEC materials (e.g. flyers, pamphlets, posters)Chair and tableWater and soap for cleaning hands TraysSafety box Containers for used vials Drugs to manage allergic reactions- 'AEFI kit' Chairs to rest after vaccination (15 mins)Pen, pencil Monitoring tools Vaccination register T ally sheets Vaccination cards Calendar
Phase 2: When girls come for immunization 1. Check eligibility of girls 3. Administer vaccine according to the recommended techniques and injection site 5. Complete immunization card and tally sheet 6. Give key messages to girl/caregiver/parent : inform about vaccines given, side effects, and date of return 4. Dispose used syringes immediately into the safety box after each injection 2. Prepare injection using aseptic techniques
What to do when girls come for immunization ? 1.Greet the girl 2.Verify, register, explain HPV vaccine benefits 3.Prepare for vaccine 4.Inject in the upper arm 5.Determine date for next vaccine dose 6.Return the updated card 7.Observe the girl for 15’
How to prepare for vaccination ? (1/3)Shake the vial wellOpen AD syringe package and remove the syringe and needle from plastic wrapping Ensure that you do not touch any part of the needle
How to prepare for vaccination ? (2/3)Take off the needle cap when you are ready to give the vaccineInsert the needle into the vaccine vial Draw vaccine from the vial into the 0.5mL syringe
Route and site of administrationInjection route: IntramuscularInjection site: the upper arm, check national policy on which arm (left or right) The injection angle- 90 degree angle
Phase 3: After all girls leave immunization site1. Complete Immunization tally sheet by counting the number of doses given 2. Return unopened vaccine vials to the refrigerator3. Put safety box in a safe location4. Inform community of the next session and activities planned to reach unvaccinated girls
Key messagesHPV vaccine session requires planning of activities before girls come, when girls arrive and after all girls leaveThe quality of vaccine should be checked before giving the vaccine The HPV vaccine is given as an intramuscular injection in the deltoid muscle of the upper arm
End of moduleThank youfor your attention!
References Comprehensive Cervical Cancer Control. A guide to essential practice (C4 GEP). WHO 2014 HPV vaccine introduction into national immunization programmes: Information for programme managers and health workers. WHO 2014